DETECTING AND MANAGING CONFLICTS OF INTEREST IN SPONSORED RESEARCH October 30 – November 1, 2002 Joan S. Leonard Vice President and General Counsel Howard Hughes Medical Institute Chevy Chase, MD VARIETIES OF CONFLICTS I. BACKGROUND A. Incentives for collaborations with industry 1. The proportion of academic research being funded by industry is large and growing. In 1998 it was nearly $2 billion, or about 9 percent of all research performed at colleges and universities, and that amount is likely to double over the next 10 years. (“Working Together, Creating Knowledge,” The UniversityIndustry Research Collaboration Initiative, Business-Higher Education Forum, 2001, 19-20.) 2. Federal enactments, such as the The Bayh-Dole Act of 1980, have focused academic research institutions on the commercial potential of its research activities. NIH-sponsored programs such as SBIRs and STTRs have encouraged joint research projects between academic institutions and smaller companies. 3. State and local governments have continued to look to academic research institutions as sources of economic development at the state and local level. Some have even tied grant funding to an institution’s commitment to job creation, presumably through academic/industrial collaborations. B. Obstacles to collaborations with industry 1. Despite similarities in their research interests and activities, academia and industry are not natural partners, and their collaborative relationships can generate significant tensions because of conflicting missions. a. Highly publicized incidents of unfortunate incidents occurring within the context of these collaborations have greatly increased the public awareness of the potential for conflicts of interest. A few lawyers have responded by recruiting individuals to class action lawsuits. 2. In the wake of expressions of Congressional interest in the area, some academic representatives, including the Association of American Universities and National Association of College and University Attorneys 1 the Association of American Medical Colleges, have responded with their own proposals for recognizing and managing such conflicts. 3. In a period of heightened scrutiny, it is important that academic institutions both identify and manage the conflicts that may arise in the course of their research and technology transfer activities, particularly when industry funding is involved. II. IDENTIFYING CONFLICTS OF INTEREST IN SPONSORED RESEARCH A. What is a conflict of interest? 1. “A conflict of interest is a set of conditions in which professional judgment concerning a primary interest (such as a patient’s welfare or the validity of research) tends to be unduly influenced by a secondary interest (such as financial gain).” Thompson, DF NEJM 328:573-576, 1993 2. NIH Definition: “A potential conflict of interest exists when an investigator has significant financial interests which could lead an independent observer to reasonably question whether the design, conduct or reporting of research might be influenced by the possibility of personal gain (individual or immediate family). B. What is sponsored research? 1. For purposes of this presentation, sponsored research is any arrangement in which a for-profit entity provides funding for academic research in exchange for rights in the research results. 2. Such arrangements may take varied forms, including research collaborations between academic and company scientists, sponsored research with little or no involvement of company scientists, and clinical trials, but all operate under contractual arrangements that delineate the rights and obligations of the parties. III. CULTURAL DIFFERENCES IN SPONSORED RESEARCH A. Sponsored research is a joint endeavor between two entities whose fundamental missions and operating conventions are not naturally compatible. 1. Universities by law and custom have a duty to create and publicly disseminate new knowledge and train the next generation to do the same; corporations by law and custom have a duty to use private risk capital to create wealth for the benefit of the shareholders. National Association of College and University Attorneys 2 2. IP protection for government-funded research is controlled by public policy as expressed in Bayh-Dole and PHS regulations; IP protection for corporations is governed by obligations to shareholders. 3. University researchers are permitted to market their own research services and resulting IP to outside entities via consulting arrangements; company researchers’ IP must be exclusively owned by the company. B. Attempting to coordinate the priorities of all parties when fundamental interests are not aligned creates opportunities for conflicting interests. IV. VARIETIES OF CONFLICTS -- INDIVIDUAL CONFLICTS A. Even in the absence of direct involvement with a company, investigators have multiple roles. 1. Independent researcher – committed to independent, curiosity-driven objective research pursued with the intent of creating new knowledge and discoveries in the field 2. Grantee – applicant for/recipient of governmental and other not-for-profit research funding, subject to certain rules and conditions 3. Author – disseminator of unbiased research findings in peer-reviewed journals, so that others may test and build on those findings 4. Colleague – Member of the research community with expectations of knowledge and resource sharing according to conventional norms 5. Inventor – creator of intellectual property, which may be patented and licensed 6. Mentor – teacher providing guidance and training to graduate students to enable them to earn their doctoral degrees and go on to research careers of their own 7. Teacher -- provide classroom instruction to institution’s students B. The demands of these roles are never perfectly congruent, and may sometimes compete. For example, 1. Investigators may forego their most exciting (but risky) proposals in order to tailor a grant proposal to what they believe can be funded or will provide an appropriate project for a graduate student National Association of College and University Attorneys 3 2. Investigator may delay or tailor publication to accommodate protection of intellectual property and preserve future development of findings. 3. Investigator may wish not to share proprietary reagents because of obligations to licensees. C. All of these competing desires are aspects of the investigator’s single relationship to the academic institution, and managing them is part of any multifaceted employment situation. Thus, for purposes of the definitions above, there is no obvious “primary” vs. “secondary” interest issue; they are all aspects of a single employment relationship and resolved managed as such. D. The investigator’s competing interests are slightly more complex when the institution licenses the investigator’s technology to an unrelated company. 1. Royalty recipient – beneficiary of some portion of consideration received from licensing of investigator’s intellectual property. In the absence of any consulting or other relationship with the licensee, this role derives from the investigator’s institutional relationship and is dependent upon it. E. Things get substantially more complex when investigators take on one or more additional roles defined by their private consulting contracts with companies. 1. Consultant – provider of specialized scientific expertise to companies in exchange for personal compensation. 2. Funding recipient – recipient of corporate funding for academic laboratory research 3. Shareholder – equity owner of a company for which the investigator consults. 4. Company director -- company official with statutory fiduciary duties of care and loyalty to shareholders F. When one or more of these roles is added to the multiple roles above, the set of conditions described in the conflict of interest definition set forth above may come into play. G. The determination that such a set of conditions exists does not call into question or pass any judgment on anyone’s motives or behavior; conflicting interests are inevitable and are nothing more nor less than a reality embedded in the circumstances of the modern research environment. If an academic research institution organization is to fulfill and be perceived as fulfilling its primary institutional mission, it must have in place policies that recognize and address this reality. National Association of College and University Attorneys 4 V. SETS OF CONDITIONS THAT MAY HAVE THE POTENTIAL TO AFFECT OR APPEAR TO AFFECT PROFESSIONAL JUDGMENT A. A COMPANY SPONSORS AN INVESTIGATORS RESEARCH 1. Institutional concern: Ensure that corporate funding does not divert investigators’ research program from the institutional mission of creating and disseminating new knowledge and training students. (a) Choice of research project; independent, curiosity-driven research vs. research that serves short-term corporate objectives of research sponsor (b) Publication of research project results; prompt, full disclosure of results vs. delays to permit protection of proprietary technology and confidential information (c) Mentoring of graduate students; development of publishable dissertation vs. confidentiality obligations to corporate sponsor B. THE INVESTIGATOR CONSULTS FOR THE SPONSOR 1. Institutional concern: Ensure that that the investigator’s relationship with the corporate sponsor do not interfere with institutional mission of creating and disseminating new knowledge and training students. (a) Time and resource commitment; devoting required time and research resources to academic duties vs. directing them to the benefit of the company (b) Choice of research project; independent, curiosity-driven research vs. research that will benefit consultee company’s R&D program (c) Publication of research project results; prompt, full disclosure of results vs. diversion of results to consultee company. (d) Mentoring of graduate students; development of publishable dissertation vs. providing employees and providing valuable trade secrets for consultee company. Potential “second class citizenship” for students not involved in work of interest to the company. National Association of College and University Attorneys 5 C. THE INVESTIGATOR’S INVENTION IS ALSO LICENSED TO THE SPONSOR 1. Institutional concern: Ensure that that the investigator’s relationship with the corporate sponsor do not interfere with institutional mission of disseminating new knowledge for the benefit of the public (a) Choice of licensee; Shopping technology broadly to find licensee best suited to commercialize vs. steering to consultee company (b) Choice of research project; independent, curiosity-driven research vs. research that will enhance value of already licensed technology (c) Background technology; Preserving licensing autonomy of other investigators vs. satisfying company’s desire/need for exclusivity D. THE INVESTIGATOR ALSO HAS STOCK IN (AND MAY BE FOUNDER OF) THE SPONSOR 1. Institutional concern. Ensure that that the investigator’s relationships with the corporate sponsor do not interfere with institutional mission of creating and disseminating new knowledge and training students. (a) Choice of research projects; independent, curiosity-driven research vs. research that will benefit consultee company’s R&D program and enhance consultant’s equity investment (b) Time and resource commitment; devoting required time and research resources to academic duties vs. directing them to the benefit of the company (c) Publication of research project results; prompt, unbiased publication of results, even if negative to company, vs. protection of equity investment (d) Choice of licensee; shopping IP broadly vs. pipelining (e) Mentoring of graduate students; in addition to publication issues, incentives exist to direct students to project of value to the company and employment with the company. The greater the stock ownership, the more powerful the secondary interest National Association of College and University Attorneys 6 E. THE INVESTIGATOR ALSO SITS ON THE BOARD OF THE START-UP SPONSOR 1. Institutional concern: Ensure that that the investigator’s primary commitment to the mission of the academic institution is not unduly influenced by conflicting legal obligations to a corporate entity (a) Conflict of institutional commitment; directors have fiduciary obligations to bring corporate opportunities to the company; if company is young, demands on directors’ time and attention may be very heavy F. THE INVESTIGATOR IS ALSO CONDUCTING A CLINICAL TRIAL FOR THE SPONSOR 1. Institutional concern: Ensure that that the investigator’s primary commitment to the welfare of patients is not unduly influenced by company’s desire for favorable results and prospects of personal gain (a) Human subject protection; primacy of the patient’s interest when recruiting , consenting, enrolling patients, reporting adverse events, interpreting data vs. interest in meeting enrollment targets and moving company’s investigative drug or device to the next phase of commercialization VI. VARIETIES OF CONFLICTS – INSTITUTIONAL CONFLICTS A. As noted above, the core mission of academic research institutions is to create and disseminate new knowledge through the conduct and publication of unbiased and objective research and train the next generation of researchers to do the same. At the same time, institutions are expected to involve themselves in recruiting funders, commercializing inventions, and contributing to economic growth. B. Thus, like investigators, academic research institutions have many roles. And like investigators, institutions can find that a set of conditions may develop in which institutional judgments regarding a primary interest, carrying out the core mission of the institution, may be unduly influenced by secondary interests, such as increasing the institution’s endowment. C. SETS OF CONDITIONS THAT MAY HAVE THE POTENTIAL TO AFFECT OR APPEAR TO AFFECT INSTITUIONAL DECISIONMAKING Because these situations tend to be analogous to the investigator situations set forth in section V, above, in the interest of brevity, they will simply be listed, without enumerating the specific ramifications. National Association of College and University Attorneys 7 D. A COMPANY SPONSORS AN INVESTIGATORS’ RESEARCH 1. Institutional concern: Ensure that corporate funding of an investigator’s research program does not interfere with the institutional mission of performing objective and unbiased research, disseminating new knowledge, and training students. E. THE INSTITUTION HAS LICENSED INVENTIONS TO THE SPONSOR 1. Institutional concern: Ensure that scope of rights granted in the license and consideration to be received from license do not interfere with institutional mission of performing objective and unbiased research and disseminating the results for the public benefit. F. THE INSTITUTION HOLDS STOCK IN THE START-UP SPONSOR 1. Institutional concern. Ensure that that equity ownership of the corporate sponsor does not interfere with institutional mission of performing objective and unbiased research, disseminating new knowledge, and training students. G. THE INSTITUTION IS REPRESENTED ON THE BOARD OF THE STARTUP SPONSOR 1. Institutional concern: Ensure that its fiduciary corporate responsibilities do not interfere with institutional mission of performing objective and unbiased research, disseminating new knowledge, and training students. H. THE INSTUTION IS ALSO THE SITE OF THE SPONSOR’S CLINICAL TRIAL 1. Institutional concern: Ensure that that the institution’s primary commitment to safeguarding the welfare of patients is not unduly influenced by company’s desire for favorable results and the institution’s prospects of financial gain. VII. OTHER LEGAL ISSUES RELATING TO SPONSORED RESEARCH As described above, sponsored research can create conditions that require institutional policies to ensure that individual and institutional conflicts do not undermine fundamental institutional missions. In addition to these concerns, sponsored research agreements can create legal obligations that may conflict with other institutional obligations that arise as a part of its investigators’ research programs. A. CONFLICTING GRANTS OF RIGHTS National Association of College and University Attorneys 8 1. Institutional concern; Ensure that the institution can meet its contractual obligations 2. MTAs. In the course of research projects, investigators often seek access to a company’s proprietary material or research tool. Typically, a company is willing to provide such a material or tool only if the institution enters into material transfer agreement (“MTA”), under which the institution agrees to grant rights to the provider, e.g., an exclusive option to license intellectual property resulting from the use of the material. If exclusive rights in a commercially sponsored project have been promised to another company in connection with a sponsored research agreement, institution will have to either ask the investigator to forego the use of the material or risk breaching its contractual obligations to the sponsor. 3. Collaborations with academic colleagues. It is not unusual for academic colleagues with complementary research interests to establish informal collaborations and produce jointly invented intellectual property. If these colleagues are funded by different companies, it is likely that exclusive rights in their inventions have been already promised. B. INSIDER TRADING 1. Under section 10(b) of the Securities Exchange Act of 1934 and related Rule 10b-5, it is unlawful to purchase or sell a security while aware of material nonpublic information about that security or issuer, in breach of a duty of trust or confidence that is owed directly, indirectly, or derivatively to the issuer of the security, shareholders of the issuer, or to any other person who is the source of the material nonpublic information, with the intent to deceive, manipulate, or defraud, or with reckless disregard of whether deception, manipulation, or fraud is taking place. 2. Investigators, in their capacity as institutional employees, may obtain material nonpublic information under an express or implied duty to hold that information in confidence. Examples include information about a company or its products or discoveries that an investigator may learn in the course of a scientific collaboration, or that a tech transfer officer may learn about a potential license of a discovery to a public company. In each of these cases, the institution would likely be treated as in possession of the information. 3. Rule 10b5-1 provides that an entity that trades in a company’s securities while in possession of material nonpublic information about that company can avoid violating the insider trading laws if it can show that National Association of College and University Attorneys 9 (a) the individual or individuals responsible for making investment decisions on its behalf were not aware of the information, and (b) the entity had reasonable policies and procedures in place to prevent insider trading. 4. Because of the potential liability and the fact that it can effectively be minimized, if not eliminated, by adopting reasonable policies and procedures, it may be prudent for institutions to adopt an insider trading policy. National Association of College and University Attorneys 10 INSTITUTIONAL RESPONSES HHMI AND AAMC I. HOWARD HUGHES MEDICAL INSTITUTE HHMI’s Mission. HHMI expects its scientists to pursue innovative, cutting-edge research on fundamental biomedical questions and to take scientific risks in the process. HHMI’s policies on intellectual property and conflict of interest are designed to minimize any non-scientific influences on its investigators’ research programs. II. HHMI POLICIES A. HHMI has policies relating to intellectual property (IP) and conflicts of interest (COI) that apply to consulting, research collaborations with industry, transfers of materials into and out of the laboratories, and licensing. These policies, as well as model agreements implementing the policies, can be found at http://www.hhmi.org/ogc/guide.html. B. The HHMI policies are generally similar to those of the institutions with which HHMI collaborates, with two major exceptions. 1. Because of its funding model, HHMI does not permit commercial funding of research in its laboratories. 2. Investigators must obtain HHMI’s prior review and written approval before entering into any consulting relationship with a for-profit company. C. HHMI’s policies in each major area that are specifically directed to managing conflicts of interests are summarized below. D. CONSULTING 1. As noted above, HHMI investigators who seek to consult for a company must first obtain written app roval of the consulting agreement. A copy of HHMI’s model consulting agreement is included in the summary of HHMI intellectual property policies on the Institute’s website. In general , HHMI treats any compensated service by an investigator for a company as consulting. HHMI has four core concerns in regulating consulting relationships. (a) Reduce to a minimum the potential for a real or apparent conflict of interest and preventing an inappropriately close relationship between the consultant and the company. (1) Investigators are limited to a total of 36 consulting days annually. National Association of College and University Attorneys 11 (2) The consultant’s role must be limited. Services are restricted to the exchange of ideas; investigators may not conduct research for a company or direct others in doing so. (3) The scope of services must not include research projects ongoing in the investigator’s HHMI laboratory (4) The investigator’s equity interest in the consultee company may not be “significant.” For this purpose, more than 5% is always significant, but lesser amounts may also be significant, depending on the circumstances. (b) Protect the investigator’s right to publish the results of his or her academic research by requiring appropriate carve-outs to the agreement’s confidentiality provisions; (c) Protect the independence of rights in IP developed in HHMI laboratories (1) All IP developed in whole or in part in the investigator’s HHMI laboratory is specifically excluded out from the investigator’s obligation to assign IP to the company (2) The consultee company explicitly foregoes any preference in licensing IP developed in the investigator’s HHMI laboratory. (d) Ensure that the Institute’s assets are not put at risk as a result of its investigators’ consulting activities by requiring the company to fully indemnify the Institute for third party claims arising from the consultant’s activities. E. RESEARCH COLLABORATIONS 1. Criteria for collaborations. All collaborations with company scientists must be driven by scientific considerations; that is, the company must make a direct and substantial scientific contribution, such as a process, a compound, or a laboratory technique, and the subject matter of the proposed project must be of a type and scope appropriate to the HHMI investigator’s overall research program. There is a limited exception to this rule in the special case of start-up companies. In recognition of the rapid dilution that can be produced by successive rounds of financing, HHMI permits an investigator who is receiving stock in a start-up company to be issued up to 20 percent of the company’s equity. If at the end of one year following the first issuance of the stock, the investigator’s holdings have not been reduced to or below the 5% level, the investigator is required to divest the excess over 5%. National Association of College and University Attorneys 12 2. No consulting. Investigators may not collaborate with companies for which they consult. (a) In the case of clinical investigators, an investigator will be considered to be “collaborating with” a company if he or she is conducting research involving a clinical protocol or trial that employs a pharmaceutical product or medical device produced or under development by that company. (b) For this purpose, conducting research means making decisions or engaging in activities related to enrollment or clinical care of specific participants, collecting or analyzing research data, or analyzing or reporting adverse events. Conducting research also includes reporting and reviewing research, but does not include consulting on the design of a research proposal or protocol. It does not include any aspects of patient care that arise solely from the performance of an investigator’s routine duties as attending physician on a clinical service. 3. Documentation. All collaborations with company scientists must be documented in advance with a written agreement and must also conform to the policies of the host institution. A copy of HHMI’s model collaboration agreement can be accessed through the HHMI website. 4. Ownership of IP. Ownership of inventions conceived or reduced to practice in the course of the collaborative research project should follow inventorship, and inventorship should be determined in accordance with U.S. patent law. 5. Licensing of Inventions. (a) The company collaborator may be granted a time-limited option to negotiate on commercially reasonable terms for a royalty-bearing license to use the host institution’s interest in any joint invention. (b) License terms should be established through negotiations after an invention has been made and assigned to the host institution; pre-set royalties or royalty ranges are strongly disfavored. 6. Publication. Authorship of papers discussing the results of the collaboration should be determined in accordance with academic custom. (a) The HHMI investigator must have the right to publish the results of the collaborative project whether or not the company wants to participate in the publication, subject to protection of the company’s confidential information. (b) Pre-publication review of a publication that is not a joint publication is acceptable. The pre-publication review should be National Association of College and University Attorneys 13 limited to 30-45 days prior to submission of the manuscript or abstract for publication. (c) The non-publishing party may be granted an additional period of 45-60 days prior to publication to protect proprietary information or intellectual property that might be contained in the disclosure. The total delay in publication should not exceed 90 days. 7. Availability of data and material. The agreement should provide that the parties agree to abide by the policies of journals in which publications will appear as to such matters as the public release or availability of data or biological materials relating to the publication. F. LICENSING 1. Rights in all inventions developed by HHMI employees in HHMI laboratories are assigned to HHMI, which in turn assigns them to the host institution. (a) The host institution takes the lead in deciding whether and where to patent, identifies licensees, and negotiates license terms, subject to HHMI review. (b) HHMI retains an Institute-wide research use license in all inventions arising in HHMI laboratories. 2. HHMI restricts the scope of rights that may be granted to the licensee in order to avoid pre-committing the fruits of future research in the laboratory. (a) The rights to future technology granted in the license may not exceed hose required to ensure that the licensee will be in a position to commercialize the licensed invention. HHMI has developed various formulations to implement this policy. (b) In general, these rights include the subject patent(s) and or patent/application(s), their divisionals and continuations, and claims of continuation-in-part applications and other patent and patent applications that are directed to subject matter specifically described in the subject patent(s) or patent application(s). (c) Rights to improvements must be time-limited. (d) These restrictions are particularly important (and are stringently implemented) in cases where the licensee is a start-up company for which the inventor will be serving as a consultant. 3. Royalties may not be tied to future milestones to be achieved in the inventor’s HHMI laboratories. National Association of College and University Attorneys 14 G. IMPLEMENTATION. Policies are developed and refined jointly by the Office of the General Counsel and HHMI’s senior scientific management. Implementation, including review and negotiation of agreements, is carried out by attorneys in the Office of the General Counsel. III. ASSOCIATION OF AMERICAN MEDICAL COLLEGES A. In October, 2000, Dr. Jordan Cohen, President of the Association of American Medical Colleges, announced the formation of a Task Force of Conflicts of Interest in Clinical Research to be chaired by Dr. William Danforth, Chancellor Emeritus of Washington University in St. Louis. As set forth in the Preface to the report issued by the Task Force, the Task Force was charged with “respond[ing] to the deepening public concern over researchers’ perceived conflicts of interest by forging consensus principles and guidelines for the oversight of financial interests in research involving human subjects.”1 B. The report of the Task Force, which was issued in December 2001, provides recommendations for the formation of institutional policies on financial conflicts on interest in clinical research and is divided into a statement of core principles to guide policy development and more specific recommendations to guide policy content. A copy of the Task Force Report follows. “Protecting Subjects, Preserving Trust, Promoting Progress – Policy and Guidelines for the Oversight of Idecemper 2001ndividual Financial Interests in Human Subjects Research,” AAMC Task Force on Financial Conflicts of Interest in Clinical Research, December 2001 at 1. 1 National Association of College and University Attorneys 15